Provider Demographics
NPI:1497851109
Name:NGUYEN, HOAI-LINH D (DC)
Entity Type:Individual
Prefix:DR
First Name:HOAI-LINH
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 N BAYOU ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36603-5827
Mailing Address - Country:US
Mailing Address - Phone:251-690-8158
Mailing Address - Fax:251-544-2188
Practice Address - Street 1:3263 DEMETROPOLIS RD
Practice Address - Street 2:SUITE 10
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-4638
Practice Address - Country:US
Practice Address - Phone:251-665-4999
Practice Address - Fax:251-665-4998
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2161111N00000X
AL1-137890363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL011846OtherMAIN GROUP MEDICARE PAYEE NUMBER
AL1063439065OtherMAIN GROUP NPI PAYEE NUMBER
AL630000013Medicaid